Form 8853
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Contents |
Archer MSAs and Long-Term Care Contracts
Quick Links
- Form 8853 (pdf)
- Form 8853 Instructions (pdf)
Purpose of Form
Use Form 8853 to:
- Report Archer MSA contributions (including employer contributions),
- Figure your Archer MSA deduction,
- Report distributions from Archer MSAs or Medicare Advantage MSAs,
- Report taxable payments from long-term care (LTC) insurance contracts, or
- Report taxable accelerated death benefits from a life insurance policy.
Cross-references
- See Publication 969
